Individual
MRS. BREEANNA LEE TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1505 BUTTS AVE, TOMAH, WI 54660
(608) 786-1400
Mailing address
105 DONALD ST, CAMP DOUGLAS, WI 54618
(608) 343-6599
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
580627
WI
Other
Enumeration date
09/30/2021
Last updated
03/14/2023
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